Individual
DOMINIC WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9324 CASTLEBROOK DR, SHREVEPORT, LA 71129-4806
(318) 532-1627
Mailing address
9324 CASTLEBROOK DR, SHREVEPORT, LA 71129-4806
(318) 532-1627
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
842194695
—
LA
Enumeration date
06/24/2019
Last updated
06/24/2019
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